Seconds into her speech, she was reaching for a lozenge to cope with the coughing fit. To the laughter of the graduating ladies, Clinton joked about the fit as she struggled through it, red faced and teary eyed.

A college official quickly offered a bottle of water and a hug to Clinton as she continually stopped speaking to cough. After an agonizing four minutes, the cough subsided and Clinton delivered the remainder of speech without interruption.

In September, she struggled through a two-minute coughing fit while speaking in Cleveland and fainted after departing early from a ceremony at the 9/11 Memorial in New York. Not long after, she disclosed she’d been diagnosed with pneumonia.

While Clinton has continually brushed off these coughing fits as allergies or some other minor ailment, speculation continues to circulate there’s more to the story than she’s telling. Much like her husband, Clinton may very well be shading the truth to avoid the actual truth from being revealed.

Only time will tell what Clinton’s real bill of health looks like. Could it be she’s dealing with a serious illness that has stifled her success? Or is she merely choking on the lies she continually spews?